罗哌卡因腰-硬联合阻滞在腰椎间盘摘除术中的应用

目的:探讨0.75%罗哌卡因腰-硬膜外联合麻醉在腰椎间盘摘除术中的应用。方法:选择40例择期腰椎间盘手术患者,随机分成两组,每组20例。A组采用腰-硬膜外联合麻醉;B组采用传统的硬膜外麻醉。麻醉过程中监测循环及呼吸相关参数。同时观察镇痛肌松效果。结果:A组镇痛肌松满意率明显多于B组(P<0.01)。两组术中血压、心率变化差异均无统计学意义(P>0.05)。结论:在腰椎间盘手术中,0.75%罗哌卡因腰-硬联合麻醉呼吸循环稳定,镇痛肌松效果完全,是一种安全可行的麻醉方法。

Application of combined spinal and epidural anesthesia with ropivacaine in lumbar disc hemiation operation

Objective：To investigate the application of combined spinal and epidural anesthesia with 0.75% ropivacaine in lumbar disc hemiation operation. Methods ： Forty patients receiving lumbar disc herniation operation were randomly divided into two groups. Group A was administered 0.75% ropivacaine in addition to combined spinal and epidural anesthesia（CSEA） ,and group B was given only epidural anesthesia. The relative parameters concerning the circulation and respiration of the two groups during the operation were recorded and compared;at the same time, the intensity of pain and muscle relaxation were observed. Results：The evaluation of the intensity of pain and muscle relaxation in group A were significantly better than that in group B（P 〈 0.01 ）. No significant differences were found between group A and group B in blood pressure or heart rate（ P 〉 0.05 ）. Conclusions ：The combination therapy of 0.75% ropivation and CSEA is safe and effective for patients undergoing lumbar disc herniation operation.